Active NPI
Sydney Stidham
- Acute Care Nurse Practitioner
- Troy, OH
National Provider Identifier
1760370241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.0039585
- Practice address
- 3130 N County Road 25a
Troy, OH 45373-1337 - Phone
- (937) 440-4000
- NPI assigned
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0039585 | OH | Primary |
Addresses
Primary practice location
3130 N County Road 25a
Troy, OH 45373-1337
Mailing address
4280 Williamson Vale Ave
Dayton, OH 45414-3983
Phone (937) 572-0156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Cincinnati College of Medicine and Surgery, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1520 S Main St
Suite 2
Dayton, OH 45409-2643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0039585 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Critical Care Consultants, Inc | Current | Accepting new patients |
Locations
1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
3130 N County Road 25A
Ste 203
Troy, OH 45373
Phone (937) 552-7038
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Dayton, OH
- NPI 1861432379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1760370241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 WILLIAMSON VALE AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143983",
"telephone_number": "937-572-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 N COUNTY ROAD 25A",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-440-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIDHAM",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0039585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.